College of Medicine, The Pennsylvania State University, Hershey, Pennsylvania, USA.
Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Pennsylvania State University, Hershey, Pennsylvania, USA.
Otolaryngol Head Neck Surg. 2020 Jun;162(6):959-968. doi: 10.1177/0194599820915468.
Identify risk factors and perioperative morbidity for patients undergoing branchial cleft cyst (BCC) excision.
Cross-sectional analysis.
American College of Surgeons National Surgical Quality Improvement Program adult and pediatric databases (NSQIP and NSQIP-P).
Patients who underwent BCC excision ( 42810, 42815) were queried via NSQIP (2005-2016) and NSQIP-P (2012-2016). Outcomes analyzed include patient demographics, medical comorbidities, admission type, operative characteristics, length of hospital stay, postoperative complications, and readmission.
A total of 1775 children and 677 adults were identified. Mean age at time of surgery was 4.6 years for children and 38.6 years for adults. Outpatient procedures were performed in 87.1% of adults and 94.0% of children ( < .001). Postoperative complications were uncommon, occurring in <1% of adults and 3.9% of children ( < .001). Similarly, readmission occurred in 1.2% of adults and 1.1% of children. In adults, smoking status was shown to have a significant effect on postoperative complications (odds ratio, 6.25; = .037). Age group did not have an effect on the complication rate in the pediatric population. Pediatric otolaryngologists had higher rates of postoperative complications ( = .001), prolonged operative times ( < .001), and fewer outpatient procedures ( < .001). Conversely, in adults, otolaryngologists had fewer postoperative complications.
Postoperative complications following BCC excision are relatively uncommon, demonstrating procedural safety when performed at any age.
确定行鳃裂囊肿（BCC）切除术患者的风险因素和围手术期发病率。
横断面分析。
美国外科医师学会国家外科质量改进计划成人和儿科数据库（NSQIP 和 NSQIP-P）。
通过 NSQIP（2005-2016 年）和 NSQIP-P（2012-2016 年）查询接受 BCC 切除术（42810、42815）的患者。分析的结果包括患者人口统计学资料、合并症、入院类型、手术特点、住院时间、术后并发症和再入院。
共确定了 1775 名儿童和 677 名成人。儿童手术时的平均年龄为 4.6 岁，成人平均年龄为 38.6 岁。门诊手术在成人中占 87.1%，在儿童中占 94.0%（<0.001）。成人术后并发症发生率<1%，儿童发生率为 3.9%（<0.001）。同样，成人和儿童的再入院率分别为 1.2%和 1.1%。在成人中，吸烟状况对术后并发症有显著影响（比值比，6.25；=0.037）。年龄组对儿科人群的并发症发生率没有影响。儿科耳鼻喉科医生的术后并发症发生率较高（=0.001），手术时间较长（<0.001），门诊手术较少（<0.001）。相反，在成人中，耳鼻喉科医生的术后并发症较少。
BCC 切除术后的并发症相对少见，表明在任何年龄进行该手术均具有程序安全性。
